Jansen Lynn A
Kennedy Inst Ethics J. 1998 Mar;8(1):23-36. doi: 10.1353/ken.1998.0004.
"Clinical pragmatism" is an important new method of moral problem-solving in clinical practice. This method draws on the pragmatic philosophy of John Dewey and recommends an experimental approach to solving moral problems in clinical practice. Although the method may shed some light on how clinicians and their patients ought to interact when moral problems are at hand, it nonetheless is deficient in a number of respects. Clinical pragmatism fails to explain adequately how moral poblems can be solved experimentally, it underestimates the relevance and importance of judgment in clinical ethics, and it presents a questionable account of the role that moral principles should play in moral problem solving.
“临床实用主义”是临床实践中解决道德问题的一种重要新方法。该方法借鉴了约翰·杜威的实用主义哲学,并推荐采用实验性方法来解决临床实践中的道德问题。尽管该方法可能会为临床医生及其患者在面临道德问题时应如何互动提供一些启示,但它在许多方面仍然存在不足。临床实用主义未能充分解释如何通过实验解决道德问题,它低估了临床伦理中判断的相关性和重要性,并且对道德原则在道德问题解决中应发挥的作用给出了一个有问题的解释。